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Surgency is a free resource for Canadian patients and caregivers. Private pathways Canadian physician in the public system to help you find the right surgeon for your needs.

As a family doctor in the public system, I believe transparency is a form of care. I created Surgency to help my patients struggling on long waitlists who wanted to understand all their options for timely medical attention.
Surgency is a free resource designed to empower and educate—helping you understand private pathways and find accredited surgeons within Canada. I hope Surgency brings you clarity.
Dr. Sean Haffey

There are two types of penile implant procedures:
Inflatable penile prothesis (IPP): offers a more natural aesthetic and feel. These implants come in a two or three piece system, with cylinders in the penis, a pump in the scrotum, and a resevoir in the abdomen (if three pieces). This allows the patient to inflate for an erection and deflate for a natural flaccid look.
Semi-rigid malleable implants: a less costly option that permanently enlarge the penis with malleable implants that maintain rigidity at all times.
Your surgeon will better describe your options based on your circumstances, but in general, IPPs are preferred because they offer more natural look and feel with better concealment. Malleable implants may be better if you're looking for a more cost-effective, simpler solution.
Short, reliable timelines for consult and surgery—measured in weeks, not months—for a faster path back to intimacy and confidence.
Ability to choose a surgeon based on what's important to you (i.e. specific expertise, experience, qualifications, personal connection); and device that fits your lifestyle. Discuss incision options (penoscrotal vs infrapubic), concealability, and plans if Peyronie’s disease or scarring is present.
Private pathways typically provide a clear quote and date, so you can arrange time off, caregiver help, and rehab. This certainty can ease anxiety and help families plan for recovery.
With long‑standing ED, scar tissue can form and length can diminish. Definitive treatment sooner can help preserve length and function—and reduce the mental load that comes with waiting.
Before
During

The recovery process varies patient to patient. Your recovery might look quite different, so please seek further guidance from your surgeon. In general here is what you can expect:
Week 1:
Weeks 2-4:
Weeks 5-12:
Weeks 13-52:
Private clinics in Canada charge between $6,000 - $16,000.
In the United States, the average cost is CA$27,200.
Costs vary so much because of surgery type (malleable implant vs inflatable (IPP) device), location, surgeon experience, facility type, complexity, and included services (some clinics offer all-inclusive, while others charge separately for anesthesia, followup care, etc.).
What’s usually not included:
Choosing your surgeon is one of the benefits of going the private route. Here is what to consider when making your choice.
Another benefit of private surgery is time spent with the surgeon. The consultation will be between 30-60 minutes (but possibly 2hours for complicated cases). Your surgeon should answer most of the questions below, but be sure to bring 5-7 that are important to you.
There are two reasons you might consider penile implant surgery.
The first is you may be unhappy with the size and shape of your penis. You might have a deformity, retractile penis, or a condition you can't control. In this case, a penile implant can permanently enlarge the penis and improve its shape and appearance.
The second is that you may be suffering from severe erectile dysfunction, and you've already tried more conservative treatments such as medication and injection therapy. Specific conditions that make men candidates for surgery include erectile dysfunction from diabetes, prostatectomy erectile dysfunction, spinal chord injuries, or penile deformities.
Yes and no—you can reach out to any of the private surgeons listed on Surgency without a referral. Their intake teams are happy to answer questions, explain what they treat, share pricing ranges, and walk you through next steps.
However, to book a formal consultation with the surgeon, you'll typically need a referral from your family doctor or nurse practitioner. Don't have one? Many of the clinics can help coordinate a virtual GP appointment to get the referral paperwork sorted. All surgeons listed on Surgency offer virtual initial consultations, so you don't need to travel until you and the surgeon have agreed on a plan.
Before your consultation, expect the clinic to request relevant medical records and recent diagnostic imaging (X-ray, MRI, CT, ultrasound, lab work, etc.). Having these ready speeds up the process and lets the surgeon give you specific guidance on your very first call.
Your surgeon will provide you with guidance on how to prepare. If you smoke, you will be advised to stop to improve healing outcomes. Depending on your weight, you may be advised to diet and exercise to reduce surgical risks and improve healing outcomes.
Surgency is free for patients, funded for by surgeons.
Surgeons—who meet our listing criteria—pay a flat fee to list on the Surgency platform. To maintain objectivity, there are no commissions, referral fees, nor any ranking or recommending one surgeon over another.
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Penile implant surgery is generally considered safe, with minimal risk and side effects.
The most common issues include infection and fluid build up, but this can be minimized with proper post-operative care.
For IPPs, mechanical failure is a potential risk, which will require a revision surgery.
In rare cases, the implant might wear through tissue or stick to skin inside the penis, which may lead to it being removed.
Many men can safely defer or skip a penile implant if symptoms are mild or other treatments help. But when ED is moderate–severe, longstanding, or unresponsive to other therapies, not getting an implant can carry medical, functional, and quality‑of‑life risks.
Key risks of not getting a penile implant (when ED is persistent/refractory)
As always, your surgeon/doctor will be in a better position to inform you of the risks given your unique circumstances.
If you still have questions, then feel free to contact us directly.